HomeMy WebLinkAbout05-28-10NOTICE OF INHERITANCE TAX ~n~sylvan~a
BUREAU OF INDIVIDUAL TAXES k~~~~~1'l ~ILLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ..._ ~IF'~~E~uc,~~~Q~s AND ASSESSMENT OF TAX REV-1547 Ex AFP C12-09)
PO BOX 280601 -~w~:'~, ~ ~,"; tats ;,t .a..`«~
HARRISBURG PA 17128-0601
Z~~~ MAY ~$ ~~ ~. ~~ DATE 05-24-2010
ESTATE OF BOHNER CLAYTON E
~~ ~F DATE OF DEATH 10-16-2009
~~tt~~ FILE NUNHER 21 09-1011
~~~~ ~ V~ ~ COUNTY CUMBERLAND
CARL C BOHNER ~~~~~...~ ~~ . ACN 101
102 CENTER AVE APPEAL DATE: 07-23-2010
CHATHAM NJ 0 7 9 28 (See reverse side under Objections)
Amount R®~itted ~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECQ~RDS 4-
REV-1547 EX AFP Ci2-09) NOTICE OF INHERITANCE TAX APPRAIS'ENEN'T, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OFs BONNER CLAYTON EFILE N0.:21 09-1011 ACNs 101 DATE: 05-24-2010
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
.I I I
APPRAISED YALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) ,0 0 NOTE: To ensue proper
2. Stocks and Bonds (Schedule B) C2) 74,540.57 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) ~~ 0 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •0 0 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 26,505.97
6. Jointly Owned Property (Schedule F) C6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets C8) 101 , 046_
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) Cg) 10.6 06.6 2
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 24 3.48
11. Total Deductions C11) 10,850..10
12. Net Value of Tax Return C12) 90, 196.44
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .0 0
14. Net Valu• of Estate Subject to Tax C14) _=0, 1:96.44
NOTE: If an assess~•nt was issued previously,
reflect figures that include the total
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
lines 14, 15 and/or 16, 17, 18 and 19 will
of ALL returns assess®d to date.
18. Amount of Line 14 taxable at Collateral/Class 8 rate
19. Principal Tax Du•
TAX CREDITS:
c15) .00 x 00 .00
C16) 9e .1.96.46 x 045 = 4,.058.84
cln _ oo x 12 .00
c18) .00 X 15 = .00
C19)= 4, 058..84
_.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
01-12-2010 CD012220 202.38 3,845.22
rAYntni MUST DE MADE BY 07-16-2010.
TOTAL TAX PAYMENT 4,047.60
BALANCE OF TAX DUE 11.24
INTEREST AND PEN. .00
TOTAL DUE 11.24
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF TNfiS FORM FOR INSTRUCTIONS.